| Lauren E Kline, | |
|
815 Business Park Dr Ste A, Traverse City, MI 49686-8683 | |
| (231) 421-6921 | |
| Not Available |
| Full Name | Lauren E Kline |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 815 Business Park Dr Ste A, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205594819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86210057 (Washington) | Primary |
| Provider Name | Chronic Care Management Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730506726 PECOS PAC ID: 7214150770 Enrollment ID: O20140602001145 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren E Kline, 4356 Shawn Dr, Traverse City, MI 49685-9629 Ph: (231) 342-2429 | Lauren E Kline, 815 Business Park Dr Ste A, Traverse City, MI 49686-8683 Ph: (231) 421-6921 |
Christine A Russell, MSRD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 | |
Natalie C Crew, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1105 6th St, Traverse City, MI 49684 Phone: 231-935-6447 | |
Patricia Gourlay, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4062 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-0466 Fax: 231-935-0467 | |
Mrs. Darcia Brewer, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1609 Park Dr, Traverse City, MI 49686 Phone: 231-947-8920 Fax: 231-947-6401 | |
Mrs. Meghan Irene Damman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4062 W Royal Dr, Traverse City, MI 49684 Phone: 231-935-4104 | |
Lacy Marie Amor, RD, IBCLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 766 Indian Trail Blvd, Traverse City, MI 49686 Phone: 231-233-1774 |